Active NPIIndividual provider

Dally Matos-Mercado

Marriage & Family Therapist in Newark, New Jersey

NPI Number1790525483
Practice location
550 Broad St Ste 606, Newark, NJ 07102-4537
Fax
—
Last updated
May 29, 2024

Dally Matos-Mercado is a Marriage & Family Therapist based in Newark, NJ. Dally Matos-Mercado practices in Newark, NJ. The NPI Number for Dally Matos-Mercado is 1790525483. The current practice location address for Dally Matos-Mercado is 550 Broad St Ste 606, Newark, NJ 07102-4537 and can be reached out via phone at 201-822-1161.

Provider Profile Details

NPI Number
1790525483
Provider Name
Dally Matos-Mercado
Provider Entity Type
Individual
Gender
Female
Address
550 Broad St Ste 606, Newark, NJ 07102-4537
Phone Number
201-822-1161
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Other Names
Dally Matos, LSW (Professional Name)
Provider Enumeration Date
May 29, 2024
Last Update Date
May 29, 2024
Certification Date
May 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
550 Broad St Ste 606
Newark, NJ 07102-4537
City
Newark
Zip
07102-4537
Phone Number
201-822-1161
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
43 S Ridge CT
Ridgefield, CT 06877-5420
City
Ridgefield
State
CT
Zip
06877-5420
Phone Number
425-458-8525

License Information

Taxonomy (1)
Social Worker · 104100000X
Taxonomy (2)
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dally Matos-Mercado?

The NPI number of Dally Matos-Mercado is 1790525483. It was assigned on May 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Dally Matos-Mercado?

Dally Matos-Mercado is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X).

Where does Dally Matos-Mercado practice?

The practice location is 550 Broad St Ste 606, Newark, NJ 07102-4537. The office can be reached at 201-822-1161 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790525483 directly on the NPPES registry website.

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